NPI | 1518224997 |
---|---|
Former Legal Business Name | DR. STEPHANIE TUCKER |
Entity Type | Organization |
Authorized Contact | STEPHANIE TUCKER Owner/President 770-509-9717 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2012-04-23 |
Last Update Date | 2019-12-10 |